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ceAnalSical . <br />Megan& Cenlw for astifw & Irmo...own <br />ooler Receipt Form <br />hvi473 <br />Cooler Receipt Form <br />Client: A c_ c A---2- SDGit <br />Cooler Received/Opened On: -1.112...1 (2 -Ci Temperature: <br />R..1 <br />Corr./4 <br />Received by: , )*c• <br />H .2) <br />°(: <br />0 C) Signatu re: 4----- ------ <br />Tracking it: <br />Receipt Check List NP Yes No <br />COC Seal Present / Intact? <br />COC Signed / Accurate? <br />Sampler name indicated on COC 11111.1111.1110.111111111. <br />liottles arrive intact <br />Correct bottles used? Alk 11111111111111 <br />Sufficient volume sent? <br />If Applicable <br />VOA Zero headspace? <br />1 PrewyAppri cotTect/gLeciTsj ?MIL <br />C(AK-V.6s s C1113 0(+. <br />H:\QAQC\Public\Controlled Docs\DAV-12 Cooler Receipt Form <br />Page 1 of 1 <br />DAV-12 <br />Revision 1 <br />1/28/2020